Individual
HOLLY MILES DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
8300 COLLEGE BLVD STE 300, OVERLAND PARK, KS 66210-2813
(913) 945-1277
Mailing address
8300 COLLEGE BLVD STE 300, OVERLAND PARK, KS 66210-2813
(913) 945-1277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-148365-012
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-78702-012
KS
Other
Enumeration date
04/09/2018
Last updated
04/01/2020
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